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Organization
VILLY PHARMACY, INC.
Active
Organization
VILLY PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LILLY TSIEN R.PH. (SUPERVISING PHARMACIST)
(212) 226-8971
Entity
Organization
Contact information
Practice address
179 GRAND ST, NEW YORK, NY 10013-3762
(212) 226-8971
(212) 226-1633
Mailing address
179 GRAND ST, NEW YORK, NY 10013-3762
(212) 226-8971
(212) 226-1633
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
022843
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01640335
—
NY
01
—
022843
NY STATE REGISTRATION NUM
NY
01
—
3312636
NCPDP
—
Enumeration date
06/03/2006
Last updated
03/07/2023
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